Ngaba ngamanye amaxesha uziva ngathi umlomo wakho womile kakhulu, njengebhola yoboya bekotoni? Okanye ngaba uhlala uziva ukutshisa okanye ukurhawuzelela emehlweni akho, ngokungathi unesanti emehlweni akho? Nangona sicinga ukuba ezi zizinto eziqhelekileyo, ngamanye amaxesha zinokuba ziimpawu zento ethile eyenzekayo emizimbeni yethu. Namhlanje sithetha ngenye yezi meko, iSjogren's Syndrome. Nangona esi sisimo sexesha elide, asikokukhathazeka ngaso. Ngonyango olufanelekileyo, ungaphila ubomi obuqhelekileyo nobonwabisayo.
Ngamafutshane, yintoni iSjogren's Syndrome?
Kulula kakhulu ukuyiqonda le nto. Umzimba wethu unenkqubo yokuzikhusela, siyibiza ngokuba yinkqubo yokuzikhusela . Ziiseli zegazi ezimhlophe ezilwa neentsholongwane kunye neentsholongwane ezingena emizimbeni yethu nezisikhusela kwizifo. Nangona kunjalo, iSjogren's Syndrome sisifo esibangelwa kukuzikhusela komzimba .
Ngamafutshane, inkqubo yethu yokuzikhusela ayisebenzi kakuhle kwaye iqala ukuhlasela iiseli zethu eziphilileyo endaweni yeentsholongwane zasemzini. Apha, olu hlaselo lujolise kakhulu kwiindlala ezivelisa umswakama emizimbeni yethu. Oko kukuthi, iindlala ezivelisa iinyembezi kunye neendlala ezivelisa amathe emlonyeni . Ngoko ke xa ezi ndlala zonakele, azikwazi ukuvelisa iinyembezi kunye namathe ngokufanelekileyo. Ngenxa yoko, amehlo, umlomo, kunye nezinye iindawo zomzimba zomile.
Kuqhelekile ukuba nexhala xa ufumanisa ukuba le yimeko yobomi bonke. Kodwa khumbula, uninzi lwabantu abaneSjogren's baphila impilo entle kwaye abafane babe neengxaki ezinkulu.
Kutheni oku kusenzeka? Zithini izinto ezibangela umngcipheko?
Oogqirha abakayazi kakuhle into ebangela oku, kodwa kukho izinto ezininzi ekucingelwa ukuba zinegalelo kuko.
- Impembelelo yemfuza : Imfuza yakho isenokuba nomngcipheko omncinci wokukhula kwesi sifo.
- Isifo: Usulelo lwebhaktiriya okanye lwentsholongwane lunokuba sisifo esibangela ukuba esi sifo siqale.
Cinga ngale ndlela. Unesiphene semfuza esinxulumene neSjogren's, kwaye ufumana into efana nomkhuhlane wentsholongwane. Emva koko inkqubo yakho yomzimba yokuzikhusela iqala ukusebenza. Kodwa ngenxa yeso siphene semfuza, iiseli ezimhlophe zegazi ziqala ukuhlasela kungekuphela nje iintsholongwane, kodwa kunye namadlala enza amathe kunye neenyembezi zethu. Ngenxa yokuba le mpi iyaqhubeka, ukuba awufumani unyango, iimpawu ziya kuqhubeka.
Ukongeza, kukho nezinye izinto ezininzi ezinobungozi:
- Ubudala: Idla ngokukhula ngakumbi kubantu abangaphezu kweminyaka engama-40 ubudala, kodwa inokwenzeka nakubantu abancinci nakubantwana.
- Isini: Abafazi banamathuba aphindwe kalishumi okufumana esi sifo kunamadoda.
- Ezinye izifo ezibangelwa kukuzikhusela komzimba: Malunga nesiqingatha sabantu abaneSjogren's nabo banesinye isifo esibangelwa kukuzimela komzimba, esifana ne-lupus okanye i-rheumatoid arthritis.
Zithini iimpawu zeSjogren's Syndrome?
Ezi mpawu azifani kuye wonke umntu. Abanye abantu banenye okanye ezimbini, ngelixa abanye banokuba nazo ezininzi. Makhe sijonge ukuba zeziphi ezi mpawu.
| Uphawu | Inkcazo |
|---|---|
| Iimpawu Eziphambili Nezona Ziqhelekileyo | |
| Umlomo owomileyo | Ingaphakathi lomlomo livakala ngathi yitshokho okanye yikotoni. Kunokuba nzima ukuthetha nokuginya ukutya. Oku kunokukhokelela ekuboleni kwamazinyo, isifo seentsini, kunye ne-oral thrush (candidiasis). |
| Amehlo omileyo | Ukutsha, ukurhawuzelela, ukuziva urhawuzelelwe emehlweni. Uvelwano ekukhanyeni (amehlo aluhlaza okwesibhakabhaka) kunye nokungaboni kakuhle emehlweni kunokwenzeka. |
| Ezinye Iimpawu Ezinokwenzeka | |
| Ukoma kwezinye iindawo zomzimba | Umphimbo owomileyo, imilebe, ulusu, kunye nempumlo. Ilungu lobufazi elomileyo. |
| Intlungu yomzimba kunye nokudumba | Ukudumba, iintlungu, nokuqina kwamalungu. Iintlungu zemisipha. Iindlala ezidumbileyo entanyeni nasebusweni. |
| Ezinye iimpawu ngokubanzi | Ukudinwa rhoqo. Ubunzima bokugxila nokukhumbula. Intloko ebuhlungu. Amaqhuqhuva eluswini kunye nokungaziva kukhanya kwelanga. Ukukhohlela okomileyo okanye ukuphefumla kancinci. |
Iintlobo ezimbini zeSjogren's Syndrome
Gqirha, ndingakuxelela ngeentlobo ezimbini zesi sifo:
1. I-Primary Sjogren's syndrome: Oku kuthetha ukuba une-Sjogren's kuphela, ngaphandle kwesinye isifo sokuzikhusela komzimba.
2. Isifo sikaSjogren sesibini: Oku kuthetha ukuba isifo sikaSjogren sihamba nesinye isifo senkqubo yomzimba yokuzikhusela, esifana nesifo samathambo okanye i-lupus.
Indlela yokuxilonga esi sifo?
Ngenxa yokuba iimpawu zesi sifo zifana nezinye izifo (umz., i-fibromyalgia) kwaye zihlala zisenzeka kunye nezinye izifo zomzimba, ukuxilongwa ngamanye amaxesha kunokuba nzima kancinci.
Ugqirha wakho uza kukuxilonga aze akubuze imibuzo efana nale:
- Ngaba amehlo akho ahlala erhawuzelela? Ngaba ayatsha?
- Ngaba amazinyo akho ahlala ebola?
- Ingaba umlomo nemilebe yakho zomile?
- Ngaba uneentlungu okanye ukuqina kwamalungu akho?
Emva koko, baya kuyalela iimvavanyo ezininzi ukuqinisekisa ukuxilongwa.
- Uvavanyo lwegazi: Olu vavanyo lulinganisa amanqanaba ee-antibodies egazini lakho, kunye nokudumba emzimbeni wakho. Abantu abaninzi abane-Sjogren's baneentlobo ezithile zee-antibodies egazini labo.
- Uvavanyo lwamehlo nomlomo:
- Uvavanyo lweSchirmer: Ukuze ubone ukuba amehlo akho omile kangakanani, kufakwa umcu omncinci wephepha phantsi kwejwabu elisezantsi kwaye kulinganiswa ubungakanani beenyembezi.
- Ukuhlolwa kwesibane esiqhekekileyo: Umphezulu weliso uhlolwa ngesixhobo sokukhulisa.
- Uvavanyo lwe-salivary gland biopsy: Iqhekeza elincinci kakhulu le-salivary gland lidla ngokuthathwa kumlomo ongezantsi lize lihlolwe.
Indlela yokunyanga nokulawula?
Esi sifo asinakunyangwa ngokupheleleyo, kodwa kukho unyango oluninzi olunokunceda ukulawula iimpawu nokuphila ubomi obusempilweni.
Unyango lwamehlo omileyo
Ugqirha wakho angakunika amathontsi eliso abizwa ngokuba yi-'artificial tears'. Kufuneka uwasebenzise imini yonke. Kukwakho neejeli eziqinileyo onokuzisebenzisa ebusuku. Ukuba ezi azincedi, unokunikwa amayeza afana ne-'(Restasis)'. Olunye unyango yi-'punctal occlusion'. Apha, kufakwa iplagi encinci kwimibhobho yeenyembezi ukuze ivale. Oku kuvumela ukuba iinyembezi zihlale ixesha elide esweni kwaye zigcine zimanzi.
Unyango lomlomo owomileyo
Ugqirha angacebisa amayeza anjenge-pilocarpine, ekhuthaza ukuveliswa kwamathe emlonyeni. Kukwakho nezitshizi zamathe ezenziweyo. Eyona nto ibalulekileyo kukubona ugqirha wamazinyo rhoqo kwaye ukhathalele impilo yamazinyo akho. Kuba xa amathe ehla, umngcipheko wokubola kwamazinyo uyanda.
Unyango lwezinye iimpawu
Iintlungu zamalungu zinokunyangwa ngamayeza okudambisa iintlungu okanye amayeza okulawula izifo afana ne-hydroxychloroquine. Ngamanye amaxesha, ukuba amalungu angaphakathi omzimba ayachaphazeleka, ii-steroids ezifana ne-prednisone okanye i-methotrexate zinokumiselwa ixesha elifutshane. Konke oku kugqitywa ngugqirha wakho.
Iindlela ezilula onokuzenza ekhaya
Kunye nonyango lwezonyango, unokufumana isiqabu esikhulu kwizinto ezilula onokuzenza ekhaya.
- Umlomo owomileyo:
- Sela amanzi kancinci kancinci imini yonke.
- Ukuhlafuna itshungama engenaswekile okanye ukuhlafuna ilozenji kunokunyusa ukuveliswa kwamathe.
- Kuphephe ukutya okuneziqholo, okunetyuwa, okumuncu, nokomileyo (njengeebhisikithi).
- Hlamba amazinyo akho kabini ngemini. Musa ukusebenzisa izihlambi zomlomo ezine-alcohol.
- Kuphephe ngokupheleleyo ukutshaya kunye nokuchanabeka kumsi wecuba.
- Amehlo nolusu olomileyo:
- Ziphephe iindawo ezinomsi, uthuli, nomoya onamandla.
- Thatha ikhefu rhoqo xa usebenzisa ikhompyutha.
- Sebenzisa isixhobo sokupholisa umoya ukugcina umswakama endlwini.
- Sebenzisa amanzi afudumeleyo endaweni yamanzi ashushu xa uhlamba.
- Faka i-moisturizer elungileyo eluswini lwakho yonke imihla.
Umyalezo Wokuya Ekhaya
- I-Sjogren's Syndrome sisifo esibangelwa kukungasebenzi kakuhle kwenkqubo yethu yokuzikhusela komzimba. Musa ukukhathazeka, ayisuleli.
- Iimpawu eziphambili ngumlomo namehlo awomileyo . Ukongeza, iimpawu ezifana neentlungu zamalungu kunye nokudinwa nazo zinokubakho.
- Nangona esi sifo singenakunyangwa ngokupheleleyo, ngonyango olufanelekileyo kunye notshintsho olulula lwendlela yokuphila, iimpawu zinokulawulwa kakuhle kwaye ubomi obuqhelekileyo bunokukhokelwa.
- Ukuba unale mpawu, ngokuqinisekileyoBona ugqirha wakho uze ufumane ingcebiso.
- Lumka ngokukodwa impilo yakho yamazinyo. Bona ugqirha wamazinyo rhoqo.
Isifo sikaSjogren, umlomo owomileyo, amehlo omileyo, izifo zokuzikhusela komzimba, iintlungu zamalungu, isifo sokuzikhusela komzimba
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